Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Taylor Campbell, PA-C

Individual provider Medical Physician Assistant · NPI 1164952735

Taylor Campbell, PA-C is a Physician Assistant in Fort Myers, Florida. Qualified in 2017, 9 years ago. Practices with Millennium Physician Group LLC, a 970-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
9
Licensed in
FL
In the registry since
2017
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

13813 Metro Pkwy
Fort Myers, FL 33912-4343
Phone: (239) 938-1717
Fax: (239) 985-9634
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 540 Griswold Rd, Elyria, OH 44035-2305 — (833) 510-4357
  • 5850 Ridge Rd, Parma, OH 44129-3169 — (833) 510-4357

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence PA9118653 (FL)

Record details

NPI number1164952735
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorYes
NPI enumeratedJune 15, 2017
Last updated in NPPESJuly 11, 2025
Certification dateJuly 11, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Millennium Physician Group Llc — 970 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations13 on file with Medicare

Other providers in Fort Myers